Provider Demographics
NPI:1760794473
Name:LIEBLE, SOMER C (FNP)
Entity Type:Individual
Prefix:
First Name:SOMER
Middle Name:C
Last Name:LIEBLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 SW GREENBURG RD.
Mailing Address - Street 2:FAMILY HEALTH PARTNERS 4 LINCOLN SUITE 110
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223
Mailing Address - Country:US
Mailing Address - Phone:503-293-4055
Mailing Address - Fax:
Practice Address - Street 1:10250 SW GREENBURG RD.
Practice Address - Street 2:FAMILY HEALTH PARTNERS 4 LINCOLN SUITE 110
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-293-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201050092NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily